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January 8, 2014 


Kathleen T. Higgins RN 
29 Bates Rd. 
Watertown, MA 02472 
617-281-1812 
kthiggins@comcast.net 


To: Olga Roche 

Department of Children and Families Commissioner 
MA Department of Children and Families 
600 Washington Street, 6 th Floor 
Boston, MA 02111 

Re: Mandated Reporter complaint '. Emotional & Medical Child Abuse of Justina 
Pelletier, inpatient adolescent psychiatry unit, Boston Children’s Hospital. 

Dear Ms. Roche, 

Since April 23, 2013, 1 have been engaged with Linda, Lou and Jennifer Pelletier, the 
parents and eldest sister of Justina Pelletier, to facilitate Justina ’s discharge from Bader 5, 
inpatient psychiatric unit of Boston Children’s Hospital, where she has been unjustly and 
illegally imprisoned for the past nine months. 

Prior to Justina’s admission to Bader 5, this fourteen year old had spent the previous 
two months as a ward of the state, per the decision of Judge Joseph Johnston, who 
deferred to the theories proffered by BCH clinicians four days after they had rushed to 
judgment amongst themselves, in lieu of collaborating with the physicians who 
prescribed the care BCH clinicians referred to as, “medical child abuse”. On February 
15, 2013 the pronouncement that shattered Justina’s life was rendered by a total stranger 
who sentenced her to undergoing the stress of radical changes in her basic medical care, 
before being moved to a more secure area of BCH where contact with her family would 
be more severely limited and more strictly monitored. 

As advocate for the family, I informed Department of Mental Health licensing 
director, Liz Kinkead of the breach of law regarding Justina’s commitment to a locked 
psychiatric unit and was told that DMH was deferring to the medical expertise of Boston 
Children’s Hospital”. Justina has no history of “serious mental illness”, nor did she 
exhibit behaviors that indicated she was at risk for harming herself or others. Justina 
continues to be held against her will on this locked psychiatric unit, licensed by the 
Commonwealth of Massachusetts Department of Mental Health, on the authority granted 
to attending psychiatrist, Dr. Colleen Ryan, presumably to prevent harm that would be 
caused to Justina by the medical care her parents would choose to pursue from board 
certified, licensed metabolic/genetics specialist, Dr. Mark Korson of Tufts University 
Medical Center, who had been treating Justina successfully for over a year. Justina was 
forced to accept her imprisonment to relinquish her basic human rights because it was 
deemed “unsafe” for her to have access to the medical care she expected to receive at 
BCH. 

From the perspective of the teen whose life has been derailed, she is the ward of a 
state devoid of compassion and conscience, prohibited from contact with every facet of 


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her life that holds meaning for her. I am submitting this information, which has been 
made public, in the form of a complaint against Judge Joseph Johnston, Dr. Colleen Ryan 
and the Massachusetts Department of Children and Families for the emotional and 
medical abuse Justina Pelletier has suffered for nearly a year. It would be far more 
accurate to call the “treatment” forced on Justina by its more proper term, “torture”. 

Beyond the obvious apathy and denial of reality each of these professionals has 
shown, that becomes more egregious as the level of formal education and trust placed in 
them increases, is the astounding absence of intervention by Dr. David Demaso, Chief of 
Psychiatry, BCH and Dr. Gordon Harper, director of child & adolescent services at the 
Massachusetts Department of Mental Health. At the present time, there looms the 
assumption that one or all of these individuals possesses either superior knowledge, or 
deeply secret information that would support the tragic, traumatic losses Justina is 
suffering, Until now, the absence of the riveting truth, or arcane explanation for Justina’s 
emotional pain, has been classified as the professional duty of those who have taken a 
precious year away from this young girl. *The information I am obligated to supply to 
support my complaint will substantiate, beyond any doubt, that Judge Joseph Johnston 
has given free reign to a small group of psychiatric clinicians whose only claim to 
medical expertise is their association with the name, Boston Children’s Hospital. The 
professional duty of Dr. David R. Demaso, and the public service obligation of Dr. 
Gordon Harper has been ignored by Judge Johnston who has given these closely 
affiliated psychiatrists free reign to operate as egoistic rouges, denying and defying every 
published guideline for psychiatric assessment of a physically ill child, and every crucial 
step required before making the allegation that parents are guilty of medical child abuse, 

Any caregiver who failed to respond to their child’s complaints of pain; who chose 
instead to isolate and imprison their child to “force her to accept that she was not in need 
of medical attention”, would be accused of emotional abuse and medical neglect of their 
child. The Child Protection Team at BCH evoked the State powers of guardianship, 
which were upheld and enacted by, Judge Joseph Johnston on February 15, 2013. 1 
strongly assert that Judge Johnston has assumed the rights and responsibilities of a 
“caregiver” acting as ultimate authority, with impunity — totally protected from public 
view and scrutiny. And like so many cases of child abuse/neglect I have seen over the 
past 40 years of my nursing career, this abuse was perpetrated and continues because of 
the shroud of secrecy all abusers demand. 

Ms., Roche, I simply ask that you thoroughly examine the attachment and employ the 
reference provided. All infonnation contained in support of my complaint is available to 
the public. This complaint will be provided for public edification to ensure that all 
ensuing proceedings will not be misrepresented as confidentiality for the purpose of 
protecting Justina Pelletier. 

Sincerely yours, 


Kathleen T. Higgins, RN 

617-281-1812 

kthiggins@comcast.net 


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• REFERENCE: 


Bcyotid Munchausen Syndrome 
by Proxy 



TSmtmi A. WbiUw. MO 
(• wW MO. MM. f AAf 


July 19, 2008 Medical Child Abuse 

Beyond Munchausen Syndrome by Proxy: This Powerful, Comprehensive Resource: For 

diagnosing and treating medical child abuse. 

Dr. Thomas A. Roesler is a pediatric and adolescent psychiatry and psychiatry 
provider with offices in Providence, RHODE ISLAND. 

593 EDDY ST APC 970 PROVIDENCE, RHODE ISLAND 02903 401-444- 
8638 

* ATTACHMENT : Practice Parameter for the Psychiatric Assessment and Management 
of Physically 111 Children and Adolescents, accepted by the American Academy of Child 
Adolescent Psychiatrists JULY 19, 2008 

NOTE: **Dr. David R. Demaso appears at the top of the list of psychiatrists 
credited as follows: 

**This parameter was developed by** 


cc: Boston Children’s Hospital President, Sandra Fenwick, Massachusetts Attorney General, 
Martha Coakley, Massachusetts Governor, Deval Patrick, Lou and Linda Pelletier, Kevin Hall, 

CCHR 


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